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PHYSICIANS STATEMENT FOR MEDICAL REVIEW UNIT To Our Driver License Customer: Use this form to report medical, physical, mental or a combination of such conditions to the Medical Review Unit. Please.

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How to fill out the Dmv Medical Review Unit online

Completing the Dmv Medical Review Unit form online is an essential step for users looking to report medical conditions as part of their driver license requirements. This guide will walk you through the process, ensuring you provide accurate and essential information.

Follow the steps to complete the form accurately

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by providing your personal information in the designated fields. This includes your first name, last name, middle initial, date of birth, and contact information. Make sure to enter your mailing address, including the city, state, and zip code correctly.
  3. Indicate your current medical, physical, or mental conditions by describing them clearly in the space provided. Be as detailed as possible to facilitate the review process.
  4. Select the appropriate checkbox regarding your primary care provider or specialist and fill in their name. Choose among options for physicians, physician assistants, nurse practitioners, and specialists.
  5. Ensure that your physician, physician assistant, or nurse practitioner fills out the second page of the form. This includes detailed medical evaluations, symptoms, and treatment information.
  6. Once all fields are filled, review your entries for accuracy. After confirming all information is correct, proceed to save changes, download, print, or share the form as required.

Complete your Dmv Medical Review Unit form online today to ensure your driver license requirements are met.

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Contact support

Contact Information DMV Law Enforcement may be contacted by phone at (804) 367-1678 and (804) 367-1997, by email at enforcement@dmv.virginia.gov, or by submitting a DMV Law Enforcement Investigation Request (form LE-22).

Note: Your customer number is the “customer identifier” on your Virginia driver's license or ID card. If you don't have a customer number, leave it blank.

Email: mcsonline@dmv.virginia.gov.

Department of Motor Vehicles Phone(804) 497-7100. Mailing Address Department of Motor Vehicles. P.O. Box 27412. Richmond, VA 23269.

The N.C. Division of Motor Vehicle's Medical Review Unit Program evaluates drivers when there are concerns that certain medical conditions might have an impact on their ability to safely operate a vehicle.

What is DMV's Medical Review Program? DMV's Medical Review Program monitors drivers who have a condition that may cause loss of consciousness, loss of awareness or loss of body control. This program is coordinated by DMV's Medical Review Unit.

6. For additional information on DMV's medical review process, you may refer to .dmvnow.com under "Citizen Services", then "Medical Information", or contact Medical Review Services at 804-367-6203.

Fax: 518-486-4421 or 518-486-3260 Make a note of the fax number you are faxing from. In the event that you need to confirm receipt of your faxed medical certificate, DMV will track it using the fax number you faxed from.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232